Dorothea Poulos
Family Doctor
87 N Airlite St Ste 130
Elgin
, Illinois 60123-4991
Dorothea Poulos
Family Doctor
87 N Airlite St Ste 130
Elgin
, Illinois 60123-4991
(847) 888-9964
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dorothea Poulos
- 87 N Airlite St Ste 130
- Elgin, IL
- Zip : 60123-4991
- Fax : (847) 888-9964
- Phone : (847) 888-3661
Second Address
- Dorothea Poulos
- 87 N Airlite St Ste 130
- Elgin, IL
- Zip : 60123-4991
- Fax : (847) 888-9964
- Phone : (847) 888-3661
Reviews
FAQs
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Is Dorothea Poulos a sole practitioner?
Is Dorothea Poulos accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036-066780 | IL |
National Provider Identifier
| NPI | 1003804519 |
|---|---|
| Provider Name | Dorothea Poulos |
| First Address | Elgin, IL 60123-4991 |
| Second Address | Elgin, IL 60123-4991 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2005 |
| Last Update Date | 03/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036066780 | (05) | IL |
| 110021524 | RAILROAD RETIREMENT BOARD (01) | |
| C48083 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.